HomeMy Public PortalAbout4800 BALDWIN AVE_Building_4/25/1962 (13)76A9A CE
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APPLICATION FOR BUILDI G PER1
COUNTY OF LOS ANGELES ASSESSOR
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DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING f
JOHN A LAMBIE COUNTY ENGINEER
ADDRESS "J rC
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST V
CROSS STPrintortvoeonly)
BUILDING
DISTRICT NO GROUP TYPE PEES D BY F
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ADDRESS V ; pp
STATISTICAL CLASSI TION SEWER MAP
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CLASS NO DWELL UNITS BK ._ .Pff/ F
TRACT E O MAP
NO OF BLDGS NO OILL zSIZEOFLOTNOWONLOTSPECIAL
USE OF T++ CONDITIONS
EXISTING BLDG W
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OWNER e; Co NO
BLDG SETBACK FROM
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ADDRESS
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY
HIGHWAY WIDTH FROM C L Z
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ENGINEER fes• NO Zp(
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B G SETBACK FROM
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TEL TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
CONTRACTOR 1 NO HIGHWAY WIDTH FROM C L x{
ADDRESS 2ustt NO O V-5 = --. O
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CITY V CLASS O CORNER CUTOFF YES NO
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RUCTION LENDER I-
ND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS w
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y NO OF NO OF NEW
I STORIES FAMILIES
ADD
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URE OF w
REPAIR
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TION $
APPROVALo DATE INSPECTOR S SIGNATURE
Q PMT Q FOUNDATION LOCATIONH. O FEE $ 33 .O FORMS MATERIALS O 2
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR OF THE STATE OF CALIFORNIA IN RELATING TO
t
WORKMEN S INSURANCE
LATH EXT
I
SIGNATUR OF HOUSE NUMBER COR
PERMITTE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATIO CK M o cnsH _
JOHN F LEWIS PRINCIPAL STRU TU RAL ENGINEER
PERMIT VALIDATION cK /1 mo CASH
tr, 9 1 0 6 MAR 12 2 3 D 1 9 8 0 A
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